Active NPI
Mimi Noelle Hussussian, APN
- Neonatal Nurse Practitioner
- Chicago, IL
National Provider Identifier
1841468139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- Practice address
- Children's Memorial Hospital, 2300Children's Plaza
Box #253
Chicago, IL 60614 - Phone
- (773) 880-3940
- NPI assigned
- Feb 20, 2008
- Last updated
- Feb 20, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | IL | Primary |
Addresses
Primary practice location
Children's Memorial Hospital, 2300Children's Plaza
Box #253
Chicago, IL 60614
Mailing address
Children's Memorial Hospital, 2300Children's Plaza
Box #253
Chicago, IL 60614
Phone (773) 880-3940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.006945 | IL | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lurie Children's Medical Group, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1841468139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CHILDREN'S MEMORIAL HOSPITAL, 2300CHILDREN'S PLAZA",
"address_2": "BOX #253",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60614",
"telephone_number": "773-880-3940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CHILDREN'S MEMORIAL HOSPITAL, 2300CHILDREN'S PLAZA",
"address_2": "BOX #253",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60614",
"telephone_number": "773-880-3940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSUSSIAN",
"first_name": "MIMI",
"middle_name": "NOELLE",
"name_prefix": "Miss",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-20",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.